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Permit
1 • ' BUILDING PERMIT q CITY OF TIGARD PERMIT #: BUP2007 -00074 '' COMMUNITY DEVELOPMENT DATE ISSUED: 2/16/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AC - 01000 SITE ADDRESS: 12575 SW MAIN ST ZONING: CBD SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: WEI LI Project Description: Freestanding sign. . REISSUE: SIGN FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,000.00 Owner: Contractor: GRITZBAUGH ST. PROPERTY SECURITY SIGNS INC PO BOX 1366 2424 SE HOLGATE BLVD BEAVERTON, OR 97075 PORTLAND, OR 97202 Phone: Contact #: PRI 503 - 232 - 4172 FAX 503 - 230 -1861 FEES Reg #: LIC 122809 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 2/7/2007 $81.70 [BUPPLN] Pln Rv 2/7/2007 $53.11 [TAX] 8% State Surcha 2/7/2007 $6.54 Total $141.35 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. _ k _ Ail Issued By: � Permittee Signature: i P Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Comm l Tenant Improvement l i P Buildiu2- Permit Application 'J `L l colt OFFICE LSE orl..l City of Tigard •°a ems! . :o Permit No.. . ° 1 SW Hall Blvd., Tigard, OR 97223 ©? 2C07 , 1 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/B . t • 0 Other Permit: Inspection Line: 503.639.4175 4�si�t �`'�i'n' I ‘‘..1,4r0 y: Date Ready : TICARD Internet: www.tigard-or.gov ®UILM90 DWir. gal ® O1\I Notified/Method: . Sopplementat Seep e2 Info TYPE OF WORK -t. REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. C Indicate the value (rounded to the nearest dollar) of all 1 Addition/alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the ; CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling commercial /industrial Valuation: S ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: , li JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: I Z n \Ma ; n New dwelling area: square feet City /State/ZIP: Garage/carport area: square feet Suite/bldg /apt. no.: I Project name: P . .' j c° Covered porch area: square feet Cross street/directions to job site: 1 � Deck area: square feet Other structure area: square feet • REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the \ DESCRIPTION OF WORK work indicated on this application t t tV.)rf � P�C�fXit i A � 1 �} Valuation: S Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: ()i ( j Type of construction: Address: 175 5 3 u «O 4 Occupancy groups: City/State/ZIP: Q mil 9 4 3 Existing: Phone: (>03 5 )0 2 Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: �er. (... )Q• 0.G h All contractors and subcontractors are required to be Contact name: ��- licensed with the Oregon Construction Contractors Board C "`J� under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the applicant is exe t from licensing, the following reasons City/State2lP: � �/ apply: f' mr. & 1 .10 Phone: ( C 6 2 - - j 1 ci I Fax :: ( 7 ) 3 236 /e(0/ S t K 53 . I I E I p `el.'hS,_ cc e o(.1" N" C1 ) v f 6 • (tjY) �] k 6'. 54 CONTRACTOR J Business name: C vs 7 'f '` BUILDIN ERM1T FEES* Address: 2— 2 -`' S k ∎ ( P�� (Pltosrnenmleesehedule, Structural plan review fee (or deposit): City/State ZIP. oz �v G 720 c— Phone: (� L�� — " L 0 I Fax: (C6 � 2�o ' _ j FLS plan review fee (if applicable): l9 Total fees due upon application: CCB lac.: ' ?? Y /QQ Amount received: / 41.35 Authorized signature: r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 1 p - . 1b.. mu 0 • A Date: 4 • Fee methodology set by Tri-County Building Industry Service Board. I:i Building \Permits\BUP- TI- PermitApp.doc 03 3/06 440-4613T(1 UUZ/COM/WEB) D■ S g. 61 Z • 1 Building Division Plan Submittal Requirement Matrix T I G A R D Commercial & Multi - Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 2 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over -the- counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1:\ Building \ Permits \BUP -77- PermitApp.doc 03/23/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/2007 Phone: (503) 639 -4171 ��: µ�l � l� Inspection Requests (24 Hrs.): (503) 639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: 3/14/2007 TIME: 7:00AM PAGE: 60 SITE ADDRESS: 12575 SW MAIN ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WEI LI DESCRIPTION: Freestanding sign. OWNER: GRITZBAUGH ST. PROPERTY, PHONE #: CONTRACTOR: SECURITY SIGNS INC PHONE #: 503 232 - 4172 Inspection Request Scheduled For: Date: 3/14/2007 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 044776-0/ 503 -701 -8355 N Corrections /Comments /Instructions: 40p L _ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI AL F ES ASSESSED Inspector: Date: L./ 67Phone #: (503) 718 - -2 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007-00074 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/2007 Phone: (503) 639 -4171 It fit Inspection Requests (24 Hrs.): (503) 639 -4175 _am. Al INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:00AM PAGE: 54 SITE ADDRESS: 12575 SW MAIN ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WEI LI DESCRIPTION: Freestanding sign. OWNER: GRITZBAUGH ST. PROPERTY, PHONE #: CONTRACTOR: SECURITY SIGNS INC PHONE #: 503.232 -4172 Inspection Request Scheduled For: Date: 3/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Me 299 Final inspection 045339-01 503 - 546.7114 Y Corrections /Comments /Instructions: — L �Ge---Z - -oCi08 42-_ .- 1( ;:d 0. Q\ ' 4 &t - PKI c> K. iz S -P_� pl , f ics . .ej 4/ d 7 (c,,,k,) , ,.. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1,7 F. IL i, CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED l --....... .Li Inspector: Date: 6 7 Phone #: (503) 718- Z6